Providers explore new territory with health plan ownership
Health systems are showing renewed interest in forming provider-sponsored health plans for a number of reasons, including rising enrollment in Medicare Advantage plans and discontent with payer-provider partnerships.
What to know before rolling out a PSHP
Healthcare organizations that are launching a provider-sponsored health plan should consider four recommendations.
Historical perspective on hospital financing practices, 1998-2018
The marriage of variable-rate debt and derivatives was certainly the biggest new development in hospital financing practice of the 1998-2008 decade and the one most likely to be carried forward over the next 10 years.
Navigant Consulting, Inc.: Hospitals and Health Systems Prepare to Assume More Risk
: This research highlight discusses key takeaways from a May 2019 HFMA study of hospital and health system senior financial executives about their organizations’ interest in and capabilities for assuming risk.
Search for federal funding driving surprise bill legislation: advisers
A search for new federal funding is driving fast-moving surprise billing legislation and will ultimately determine if it is enacted, according to legislative advisers.
Analysis: Details about CVS/Aetna’s 2 new pilot programs
HFMA’s Chad Mulvany reviews the details of CVS/Aetna’s two new pilot programs focused on improving outcomes for its members.
Analysis: UAW provides direct primary care to manage healthcare costs
A review of the benefits for both healthcare providers and unions when they partner to offer union members direct primary care.
Jill Geisler: Why prioritizing workplace integrity matters
Healthcare leaders should strive to achieve workplace integrity for their organizations: environments free of harassment, discrimination and incivility, and filled with opportunity.
Revenue Cycle Strategist July/August 2019
The July/August 2019 issue of Revenue Cycle Strategist newsletter features articles on payer EHR integration, price transparency, chargemaster strategies and KPIs for Medicaid eligibility.
Strategic Financial Planning Summer 2019 Issue
Read the Summer 2019 issue of Strategic Financial Planning.